NPI | 1447638655 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 175T00000X Peer Specialist |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA CG60528858) |
Enumeration Date | 2015-05-08 |
Last Update Date | 2019-01-17 |